Evans, Mona Kay
Evans, Mona Kay is an sole proprietor health care provider with primary practice located at 998 E Gannon Dr Suite 120, Festus MO 63028-2663. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Mona Kay can be contacted via phone (636) 931-2900.Contact Information
Primary practice address
998 E Gannon Dr Suite 120
Festus MO 63028-2663
Phone: (636) 931-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002060 | Missouri |
Profile Details
| NPI number | 1407886864 |
|---|---|
| LBN Legal business name | Evans, Mona Kay |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407886864 | NPPES |
| Missouri | MEDICAID | 756964508 | |
| Missouri | MEDICAID | 1407886864 |
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